healthslips.com.au Policy Information

Defence Health Limited

Value Extras

Restricted Insurer

$72.75 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.

This policy covers: Only one person.

Restricted insurer: Membership of this insurer is restricted to current or former members of the ADF and the Defence community and their families.

Policy ID: AHB/I4/NCEQ10

Source: Private Health Information Statement (PHIS)

Extras Cover

Visit a network dentist for quality dental care at special member prices. Plus, network optical providers offer no-gap glasses and discounts on other optical purchases up to the optical limit. See https://www.defencehealth.com.au/Health-Insurance/Find-Providers-and-Hospitals.

This policy includes General treatment (Extras) cover for
Treatment & waiting period (months)
Benefit limits per 12 months unless otherwise stated
Examples of maximum benefits
Acupuncture 2

$300 per policy

combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services

  • Initial visit: $31
  • Subsequent visit: $27
Ante-natal/Post-natal classes 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $30
  • Subsequent visit: $30
Audiology 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $69
  • Subsequent visit: $47
Blood glucose monitors 12

$1,000 per policy

combined limit for blood glucose monitors, hearing aids & other services

sub-limits apply

  • Per monitor: $400
Chiropractic 2

$550 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $45
  • Subsequent visit: $32
Dietetics/dietary advice 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $57
  • Subsequent visit: $31
Endodontic 12

$900 per policy

combined limit for endodontic & major dental

  • Filling of one root canal: $117.4
Exercise physiology 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $29
  • Subsequent visit: $23
Eye therapy (orthoptics) 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $62
  • Subsequent visit: $42
General dental 2

No annual limit

  • Fluoride treatment: $20.6
  • Scale & clean: $70.8
  • Periodic oral examination: $37.6
Health management / Healthy lifestyle 2

$300 per policy

combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services

  • Health management: $100
Hearing aids 12

$1,000 per policy

combined limit for blood glucose monitors, hearing aids & other services

sub-limits apply

  • Hearing aid: $1000
Major dental 12

$900 per policy

combined limit for endodontic & major dental

  • Surgical tooth extraction: $124.7
  • Full crown veneered: $801.6
Non PBS pharmaceuticals 2

$400 per policy

combined limit for non pbs pharmaceuticals, vaccinations & other services

  • Per eligible prescription: $80
Occupational therapy 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $72
  • Subsequent visit: $42
Optical 2

$255 per policy

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Orthodontic 12

$800 per policy

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $800
Osteopathy 2

$550 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $45
  • Subsequent visit: $32
Physiotherapy 2

$600 per policy

  • Initial visit: $52
  • Subsequent visit: $39
Podiatry 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $45
  • Subsequent visit: $32
Psychology 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $87
  • Subsequent visit: $72
Remedial massage 2

$300 per policy

combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services

  • Initial visit: $31
  • Subsequent visit: $27
Speech therapy 2

$900 per policy

combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy

  • Initial visit: $92
  • Subsequent visit: $47
Vaccinations 2

$400 per policy

combined limit for non pbs pharmaceuticals, vaccinations & other services

  • Per service: $80

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

{combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $27}

Ante-natal/Post-natal classes

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $30}

{Subsequent visit: $30}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $69}

{Subsequent visit: $47}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for blood glucose monitors, hearing aids & other services}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: $400}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$550 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $32}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $57}

{Subsequent visit: $31}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: $117.4}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $29}

{Subsequent visit: $23}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $62}

{Subsequent visit: $42}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $20.6}

{Scale & clean: $70.8}

{Periodic oral examination: $37.6}

Health management / Healthy lifestyle

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

{combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services}

Examples of maximum benefits

{Health management: $100}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for blood glucose monitors, hearing aids & other services}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: $1000}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Surgical tooth extraction: $124.7}

{Full crown veneered: $801.6}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{combined limit for non pbs pharmaceuticals, vaccinations & other services}

Examples of maximum benefits

{Per eligible prescription: $80}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $72}

{Subsequent visit: $42}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$255 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

{Single vision lenses & frames: 100% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $800}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$550 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $32}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

Examples of maximum benefits

{Initial visit: $52}

{Subsequent visit: $39}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $32}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $87}

{Subsequent visit: $72}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

{combined limit for acupuncture, health management / healthy lifestyle, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $27}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

{combined limit for ante-natal/post-natal classes, audiology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, podiatry, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: $92}

{Subsequent visit: $47}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{combined limit for non pbs pharmaceuticals, vaccinations & other services}

Examples of maximum benefits

{Per service: $80}

Health and Wellbeing annual limit $300 includes: Acupuncture, Remedial Massage, Health Management, Myotherapy - initial consultation: $31.00, subsequent consultation: $27.00, Group Physiotherapy - $18.00 per session and Group Exercise Physiology - $13.00 per session. Also covers: School accident - annual limit: $600. Health appliances limit also includes: Orthopaedic shoes – sub-limit: $250; Nebuliser – sub-limit: $250 every three financial years; Spacer – sub-limit: $250.

This policy does not include General treatment (Extras) cover for

Chinese medicine
Home nursing
Orthotics (podiatric orthoses)

Other features of this general treatment cover: No lifetime limit on orthodontics. All benefits are per person. Benefits reset on 1 July each year. Details and claim conditions are in product guides available at defencehealth.com.au

For further information about this policy see: https://www.defencehealth.com.au/

Ambulance cover

In NSW & ACT this policy provides:

Emergency: Unlimited with a waiting period of 2 months.

Non-emergency: Unlimited transport with a waiting period of 2 months.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: Comprehensive cover for ambulance services by state-appointed ambulance providers across Australia. This includes emergency services, non-emergency dispatch, mobile intensive care and air and sea ambulance services. Non-emergency services are those that are classed as clinically necessary; for example, you need to be monitored by a paramedic during transport. Patient transfer services and transport services by Patient Transport vehicles are not ambulance services and are not claimable.

For further information about this policy see: https://www.defencehealth.com.au/

Insurer Details

Defence Health Limited

Value Extras

Restricted Insurer

$72.75 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/AHB/I4/NCEQ10

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